Trilyte (peg 3350) prep instructions for your colonoscopy
DIGESTIVE CARE CENTER
707.303.2694 Fax TRILYTE (PEG 3350) PREP INSTRUCTIONS FOR YOUR COLONOSCOPY ONE DAY PREP Arrival Date:_____________ Arrival Time:___________Procedure Time: _____________ Endoscopy Center 7 Days Before the Exam:
If you are taking Coumadin (Warfarin), Plavix, Lovenox, Aggrenox, Pradaxa, Effient or any other
blood thinning medication, make sure you know if and when you are to stop these medications. Call the office TODAY if you are unsure. You may continue to take a single aspirin tablet daily.
Purchase the prep ingredients from your pharmacy: one gallon TriLyte, or equivalent, and 4 Dulcolax 5
Purchase soothing wipes and barrier cream such as Vitamin A&D ointment to help with anal irritation.
Please return your patient history and demographics form to the office, not the procedure facility. 4 Days Before the Exam:
Stop NSAIDS (Ibuprofen, Motrin, Advil, Naprosyn, Aleve, Relafen or the like). Stop iron supplements. Stop eating nuts, seeds, popcorn, tomatoes, peanuts, corn, berries, and breads or crackers with visible 2 Days Before the Exam:
In evening fill TriLyte container with water and a flavor packet (or Crystal Light lemonade flavor) and
1 Day Before the Exam (Prep Day):
Begin clear liquid diet. Do not eat anything solid. Drink only clear liquids the entire day. Clear liquids
include: coffee, tea, (both without any milk or milk products), jello, popsicles, sport drink (nothing red, orange or purple in any product), broth, white grape juice, white cranberry juice, apple juice, soda, vitamin waters (not colored). More liquids will result in a better colon prep and ensure hydration. Try to drink at least 6 to 8 glasses of clear liquid on this day before 5 pm. (turn over)
You may also drink Boost (Vanilla only), or a similar product, until 5 p.m. Use the sugar free version if
If you are diabetic and taking insulin or using an insulin pump, use ½ your daily dosage today. If you are
taking oral diabetic medications, take ½ the dosage you usually take. Otherwise, take your regular medications, including the day of the exam.
2 pm: Take 4 Dulcolax 5 mg (bisacodyl) laxative tablets.
5 pm: Begin drinking TriLyte. Drink one 8 oz. glass every 10-15 minutes until the entire container is finished. This takes about 4 hours. It is best to drink the whole glass quickly. A straw may help as well as sucking on a lime after you drink. **If your procedure is scheduled for 10 a.m. or later, drink ½ the Trilyte tonight. Drink the second half early tomorrow morning--see below.**
Chills, bloating, cramping, nausea and vomiting may occur. If so, take a break from drinking the prep
for 30 minutes. Resume drinking the container of prep until it is finished, taking breaks as needed.
A bowel movement will usually occur within an hour after the 1st glass of TriLyte. Don’t worry if this
does not happen for 3-4 hours. Everyone is different.
Bowel movements will occur that are watery and frequent until the bowel is fully cleansed. The end
result should be clear or pale yellow liquid.
Day of Exam:
**If your procedure is scheduled for 10 a.m. or later, drink the remainder of the TriLyte. You must finish this by no later than 3 hours before your test!**
Do not drink anything beginning 3 hours before your exam until the exam is complete. You may
have clear liquids before that on the day of your exam.
If you are diabetic, do not take your daily diabetic medication this morning Wear loose comfortable clothing, a short sleeved shirt, and warm socks. You must have a driver to pick you up. You cannot drive yourself home. If you do not have someone
to drive you home, your procedure will be canceled. You may take a taxi home if you are accompanied by a responsible adult.
The hardest part is over! After you arrive for your colonoscopy, you will meet with a nurse who will talk to you about your medical history, start an IV so you can get fluids, and get you settled. After you meet with your doctor, you will be given medication to sedate you and keep you comfortable during your colonoscopy. You will recover after your procedure for about 30 minutes and be given a report with the findings and instructions to take home.
After the examination YOU MAY NOTDRIVE, WORK OR OPERATE MACHINERY for the remainder of the day. Your procedure will last approximately 2-3 hours from the time you arrive to the time you are released. PLEASE NOTE, the procedure facilitymay contact you if necessary to adjust you appointment time within 48 hours of the exam. You may confirm your release time with the facility at the time of arrival. Your appointment will be confirmed before the procedure. If it is not confirmed 2 business days in advance, we may change your appointment. If you are unable to keep this appointment please give us a 1 week notice, or a cancellation fee of $150 may be charged. You may call the office at 707-303-8349 during our business hours—8:30AM to 12:00 PM and 1:00 to 5:00PM Monday to Friday. Patient Financial Responsibility
Trilyte (PEG) one day prep page 2 Please note, when appropriate, we will preauthorize your procedure. This means we have gained approval for your procedure from your insurance company; however, this is not a guarantee of payment. It is your responsibility to contact your insurance company to find out your payment obligations. We can provide the appropriate procedure and diagnosis codes to assist you if needed. The charges that may be billed to your insurance company for your procedure include the physician’s professional fee, the facility fee where the procedure is performed, and pathology fee or anesthesiologist’s fee if applicable. You may contact us with any questions.
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